Individual provider Active NPI

Kathleen Normand

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1619669926
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
287846 Issued in AZ
Practice address
217 S 63Rd St Ste 105
Mesa, AZ 85206-6106
Phone
(480) 981-8088
Fax
(480) 981-3883
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 287846 AZ Primary

Addresses

Primary practice location

217 S 63Rd St Ste 105
Mesa, AZ 85206-6106

Mailing address

217 S 63Rd St Ste 105
Mesa, AZ 85206-6106
Phone (480) 981-8088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230817003126 AZ Practitioner - Nurse Practitioner 6305208653 Reassigns benefits to 1 organization
I20260123002261 LA Practitioner - Nurse Practitioner 6305208653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

1435 S Alma School Rd
Chandler, AZ 85286-7144
Phone (480) 668-1600

409 W Pont Des Mouton Rd C
Couret Farms Urgent Care
Lafayette, LA 70507-3271
Phone (337) 886-6455

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Primary Care Physicians Arizona LLC CurrentSince Aug 2, 2023 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Jan 5, 2026 Accepting new patients
University Hospital and Clinics, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Aug 2, 2023 Accepting new patients
University Hospital & Clinics Inc CurrentSince Jan 5, 2026 Accepting new patients
Valley Anesthesiology Consultants, Inc. CurrentSince Sep 5, 2025 Accepting new patients
Lafayette Health Ventures Inc Family Medicine CurrentSince Jan 5, 2026 Accepting new patients

Locations

1435 S Alma School Rd
Chandler, AZ 85286
Phone (480) 668-1600

3483 S Mercy Rd
Ste 102
Gilbert, AZ 85297
Phone (480) 464-5754

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069

409 W Pont des Mouton Rd
Ste C
Lafayette, LA 70507
Phone (337) 886-6455

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

4402 U S Highway 167
Ste A
Maurice, LA 70555
Phone (337) 516-3110

2810 Bonin Rd
Youngsville, LA 70592
Phone (337) 857-5765

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1619669926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S 63RD ST STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066106",
            "telephone_number": "480-981-8088",
            "fax_number": "480-981-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S 63RD ST STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066106",
            "telephone_number": "480-981-8088",
            "fax_number": "480-981-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAND",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "287846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.